Gitanjali Anbalagan

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

402 Legacy Park
Ridgeland, MS 39157-4315

Phone

(769) 233-7154

NPI assigned

Jul 12, 2024

Last updated

Jul 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blue Sky Behavior Therapy

  • Behavior Analyst
  • Ridgeland, MS
  • NPI 1609418896

  Single Specialty

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1942047246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 B LEGACY PARK",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 LEGACY PARK",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574315",
            "telephone_number": "769-233-7154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANBALAGAN",
        "first_name": "GITANJALI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelicare
• American Psych Associates, Inc (Mississippi Depression Help Center)
• American Psych Associates, Inc.
• American Psych Associates, Inc. (Tri-County Community Mental Health)
• American Sleep Associates, Inc (International Center of Sleep Medicine)
• Anchoring Hearts Healthcare LLC
• Dorothy Jeffries Anderson, ED.D, NCC, LMHC, LPC
• Kathryn Anderson, OT
• Natylon Nicole Anderson, OTR/L
• Sharhonda Michelle Anderson, NP

• Behavior Technician in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Behavior Technician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.